Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Adult Primary Care Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
2040 N SHADELAND AVE, SUITE 310, INDIANAPOLIS, IN 46219-1734
(317) 355-2700
(317) 355-2929
Mailing address
2040 N SHADELAND AVE, SUITE 310, INDIANAPOLIS, IN 46219-1734
(317) 355-2700
(317) 355-2929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325490Z
—
IN
01
—
DA8370
RR MEDICARE
IN
Enumeration date
05/18/2006
Last updated
08/04/2010
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